Hormonal IUD: What to expect
24 March, 2019
Hi, I wondered how one deals with the spotting which may occur after insertion of a hormonal IUD? I’m concerned that the niddah status will be continuous due to spotting issues. Can you reflect on experiences of other women you’ve consulted with please?
Thanks so much!
Unfortunately, it is common to experience irregular staining for up to 6 months after having a hormonal IUD inserted. This is an important factor that a woman should consider before deciding on this type of birth control. However, not all staining will render a woman niddah nor invalidate the clean days. It is important to review the laws of stains to help deal with any staining issues that may come up.
We have received a range of reports from women describing their experiences adjusting to the hormonal IUD. They range from relatively easy adjustments with minimal staining, all the way across the spectrum to women suffering from frequent staining that keeps them niddah for months. It is impossible to know in advance how your body will react to the hormones. However, many women find the somewhat difficult adjustment period to be worth it, considering that after that point there are usually very light periods, or even no periods at all.
If you do decide on this type of birth control, we recommend having it inserted while you are tehorah, when it is halachically easier to disregard staining. You may ignore any bleeding you experience during the first 24 hours after insertion. After that, you should take precautions against becoming niddah from any further staining by wearing colored underwear (or disposable pantyliners) and waiting 15 seconds after urinating before wiping. If the bleeding turns into a flow, unfortunately it would render you niddah.
Please feel free to get back to us with any further questions.
This internet service does not preclude, override or replace the psak of any rabbinical authority. It is the responsibility of the questioner to inform us of any previous consultation or ruling. As even slight variation in circumstances may have Halachic consequences, views expressed concerning one case may not be applied to other, seemingly similar cases. All health and health-related information contained within Nishmat's Women's Health & Halacha Web site is intended to be general in nature and should not be used as a substitute for consulting with your health care professional. The advice is intended to offer a basis for individuals to discuss their medical condition with their health care provider but not individual advice. Although every effort is made to ensure that the material within Nishmat's Women's Health & Halacha Web site is accurate and timely, it is provided for the convenience of the Web site user but should not be considered official. Advice for actual medical practice should be obtained from a licensed health care professional.
For further questions or comments:
The Nishmat Women's Health and Halacha Site is a public service of Nishmat, The Jeanie Schottenstein Center for Advanced Torah Study for Women. This project and others like it are made possible by contributions from people like you. If you have benefited from the service, and wish to enable us to help others, click here to donate.
Users of Internet filtering services: This site discusses sensitive subjects that some services filter without visual indication. A page that appears 100% complete might actually be missing critical Jewish-law or medical information. To ensure that you view the pages accurately, ask the filtering service to whitelist all pages under yoatzot.org.